Like tennis elbow, Carpal Tunnel Syndrome (CTS) is usually the result of demanding, repetitive movement. Hand pain and wrist pain are very often caused by work or leisure activities that require duplicated fine motor movements such as typing, hammering, sewing, or painting. Impingement of the median nerve causes the pain and numbness carpal tunnel is known for.
Often carpal tunnel begins as a numb “pins and needles” sensation in the wrist, rather than specific pain in the hand. Weakness and a loss of strength are very common, and patients even report losing their firm grip or unintentionally letting go or dropping objects. Hand pain and wrist pain ultimately accompany carpal tunnel symptoms, and often the pain radiates through the fingers, palm, wrist, and forearm. Some even describe a burning or itching feeling.
It is not uncommon for Carpal Tunnel Syndrome to occur simultaneously with tennis elbow or golf elbow, as both are also similar disorders of repetitive movement.
Carpal tunnel accounts for the majority of hand and wrist pain, and it is one of the most common work-related injuries in the U.S. Dr. Nemirovsky has significant experience in diagnosing hand pain and wrist pain and is highly trained in assessing the origin of your discomfort. Our holistic approach looks at the whole chain of movement in your arm, from the shoulder to the fingers. By looking at the larger picture, we can identify the root cause of your injury, how best to treat it, and how to prevent it from occurring again.
Carpal Tunnel Syndrome is caused by compression of the median nerve that runs from the forearm through the wrist to the hand and fingers. The carpal tunnel itself is the narrow inner part of the wrist, comprised of small bones and soft tissue. When the wrist and hands are repeatedly called upon to perform the same motion, the median nerve can become inflamed and pinched in the carpal tunnel. As a result, movement of the wrist and hand becomes painful or numbing, particularly in the palm, thumb, index finger, and middle finger.
Office workers typing, construction workers hammering, and truckers driving are among the many employees at risk of developing Carpal Tunnel Syndrome. Many leisure activities can cause hand and wrist pain as well, such as sewing, painting, and racket sports. Our role is to make sure you can go back to work or to your leisure activities as quickly as possible.
In diagnosing your hand pain and wrist problem, Dr. Nemirovsky will assess your pain symptoms, range of motion, and hand grip strength. Using various diagnostic methods, he will directly examine the median nerve as it runs through the arm, forearm, and wrist to determine the exact site of compression or dysfunction. In addition to the physical exam, Dr. Nemirovsky will discuss with you the work and leisure activities that may trigger the onset of pain or aggravate an underlying problem.
By introducing hand therapy and carpal tunnel exercises focused on soft tissue mobilization, Dr. Nemirovsky relieves the inflamed median nerve and restores normal function to your arm, wrist, and hand. Skillfully blending state-of-the-art therapies such as Cold-Laser Light Therapy, the Active Release Technique® (ART), and the Graston Technique®, he ensures wrist pain relief and restoration that is custom to your specific disorder and pain symptoms*.
Our board-certified sports medicine specialist's accurate diagnosis and treatment of your carpal tunnel can mean the difference between conservative and timely healing, and invasive carpal tunnel surgery with lengthy recovery. Manhattan Sports Therapy can also provide you with activity modifications in order to help you recover without pausing your work or leisure activities, allowing you to heal and work at the same time.